| NPI | 1902590763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2783) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School (Licence: 487662) | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-10-25 |